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Avaliação dos Cuidadores: uma Revisão Sistemática
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Abstract(s)
Foi realizada uma avaliação sistemática de dissertações de mestrado e teses de
doutoramento apresentadas à Universidade do Porto entre 2000 e 2010, com o objectivo
de identificar os instrumentos utilizados para avaliar as necessidades dos cuidadores
informais de pessoas idosas portadoras de doença crónica, do foro físico ou mental. Foram
seleccionados 7 estudos. Segundo investigadores e organizações de familiares cuidadores, a
avaliação do cuidador deve ter em consideração os seguintes tópicos, qualquer que seja o
local onde a avaliação é realizada (domicílio, hospital, etc): o contexto do cuidador; a
percepção do cuidador acerca do estado de saúde da pessoa idosa e do seu estado
funcional; a preparação do cuidador para a prestação de cuidados; a qualidade do
relacionamento familiar; indicadores de problemas com a qualidade de cuidados; estado de
saúde física e mental do cuidador; recompensas pela prestação de cuidados e actividades de
auto-cuidado para os cuidadores. Os resultados do estudo mostraram que nenhum dos
instrumentos analizados contém todas as dimensões dos cuidadores informais. Embora a
avaliação inicial da pessoa doente constitua um elemento de rotina na prática clínica, a
avaliação do cuidador informal para determinar o tipo de ajuda de que necessita raramente
é efectuada (Messecar, 2008). Ainda para esta autora, as estratégias de intervenção efectivas
dirigidas aos cuidadores informais devem ser baseadas numa avaliação rigorosa das suas
forças e debilidades.
A systematic review of the master and doctoral thesis presented to Porto University was performed from 2000 to 2010. The purpose of this review is to identify assessment instruments for informal caregivers who provide care to a chronically ill or functionally impaired older family member. We selected 7 studies. According to to a broad consensus of researchers and family caregiving organization, assessing the caregiver should involve addressing the following topics, which are applicable across settings (home, hospital, etc.): caregiving context; caregiver´s perception of recipient´s health and functional status; caregiver preparedness for caregiving; quality of family relationships; indicators of problems with quality of care; caregiver´s physical and mental health status; rewards of caregiving; and self-care activities for caregivers. The study results show that there is no ideal instrument, there were no instrument who assess all dimensions recommended for informal caregivers. Although initial assessment of the patient is a routine element of clinical practice, assessment of family caregiver is rarely carried out to determine what help the caregiver may need (Messecar, 2008). According to this author, effective intervention strategies for caregivers should be based on an accurate assessement of caregiver risk and strengths.
A systematic review of the master and doctoral thesis presented to Porto University was performed from 2000 to 2010. The purpose of this review is to identify assessment instruments for informal caregivers who provide care to a chronically ill or functionally impaired older family member. We selected 7 studies. According to to a broad consensus of researchers and family caregiving organization, assessing the caregiver should involve addressing the following topics, which are applicable across settings (home, hospital, etc.): caregiving context; caregiver´s perception of recipient´s health and functional status; caregiver preparedness for caregiving; quality of family relationships; indicators of problems with quality of care; caregiver´s physical and mental health status; rewards of caregiving; and self-care activities for caregivers. The study results show that there is no ideal instrument, there were no instrument who assess all dimensions recommended for informal caregivers. Although initial assessment of the patient is a routine element of clinical practice, assessment of family caregiver is rarely carried out to determine what help the caregiver may need (Messecar, 2008). According to this author, effective intervention strategies for caregivers should be based on an accurate assessement of caregiver risk and strengths.
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Idosos Cuidadores Familiares
Citation
Publisher
Escola Superior de Enfermagem do Porto